| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,626 |
6,931 |
$3.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,203 |
5,357 |
$9.99 |
| 81002 |
|
156 |
119 |
$5.21 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,153 |
1,521 |
$2.79 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
262 |
213 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
236 |
190 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
127 |
96 |
$0.00 |
| 82962 |
|
46 |
26 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
48 |
39 |
$0.00 |
| 0011A |
|
20 |
17 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
43 |
30 |
$0.00 |
| 85018 |
|
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
19 |
15 |
$0.00 |